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Investigation of the irritable hip
1Department of Orthopaedic Surgery, Royal Manchester Children's Hospital, England.
Journal of Pediatric Orthopedics
|May 1, 1992
Summary
Conventional radiography and ultrasound scanning are recommended for irritable hip syndrome in children. Radionuclide scintigraphy is best reserved for cases with abnormal ultrasound findings, as it is rarely positive with a normal ultrasound.
Area of Science:
- Pediatric Orthopedics
- Diagnostic Imaging
Background:
- Irritable hip syndrome is a common cause of hip pain in children.
- Accurate diagnosis is crucial for appropriate management and to rule out more serious conditions.
Purpose of the Study:
- To compare the diagnostic utility of conventional radiography, ultrasound scanning, and radionuclide scintigraphy.
- To establish optimal imaging protocols for pediatric irritable hip syndrome.
Main Methods:
- Retrospective analysis of imaging findings in 62 children diagnosed with irritable hip syndrome.
- Comparison of results from conventional radiography, ultrasound, and scintigraphy.
Main Results:
- Conventional radiography and ultrasound scanning demonstrated significant diagnostic value.
- Radionuclide scintigraphy showed a low yield in cases with normal ultrasound findings.
- Abnormal scintigrams were uncommon when ultrasound scans were normal.
Conclusions:
- Routine use of conventional radiography and ultrasound is recommended for investigating pediatric irritable hip syndrome.
- Radionuclide scintigraphy should be considered a secondary investigation, utilized when ultrasound results are abnormal.
- This approach optimizes diagnostic accuracy and resource allocation in pediatric hip imaging.